Provider Demographics
NPI:1699156265
Name:SAKAMOTO, DAVID YOSHIKAZU (PHARMD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:YOSHIKAZU
Last Name:SAKAMOTO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4550 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-4109
Mailing Address - Country:US
Mailing Address - Phone:714-771-3014
Mailing Address - Fax:714-771-3064
Practice Address - Street 1:4550 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-4109
Practice Address - Country:US
Practice Address - Phone:714-771-3014
Practice Address - Fax:714-771-3064
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49115183500000X
NV13306183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist